Provider Demographics
NPI:1104796606
Name:OLIVIA JOY COUNSELING LLC
Entity type:Organization
Organization Name:OLIVIA JOY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PHEBUS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:616-433-6192
Mailing Address - Street 1:1971 E BELTLINE AVE NE
Mailing Address - Street 2:STE 106 #1423
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49525-7045
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8 E BRIDGE ST STE D1
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:MI
Practice Address - Zip Code:49341-1601
Practice Address - Country:US
Practice Address - Phone:616-433-6192
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-10
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty